The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
Psychosocial job stressors and suicidality: a meta-analysis and systematic review
Open accessAbstract
Objectives: Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date. Methods: We used a three-tier search strategy of seven electronic databases. Studies were included if they reported on a job stressor or job-related stress as an exposure and suicide ideation, self-harm, suicide attempt or suicide as an outcome. Two researchers independently screened articles. All extracted effect estimates were converted to log-transformed ORs. Results: There were 22 studies that were included in meta-analysis. Overall, exposure to job stressors was associated with elevated risk of suicide ideation and behaviours. The OR for suicide ideation (14 studies) ranged from 1.45 (95% CI 1.01 to 2.08) for poor supervisor and colleague support to 1.91 (95% CI 1.22 to 2.99) for job insecurity. For suicide (six studies), exposure to lower supervisor and collegial support produced an OR of 1.16 (95% CI 0.98 to 1.38), while low job control resulted in an OR of 1.23 (95% CI 1.00 to 1.50). There were only two studies that examined suicide attempt, both of which suggested an adverse effect of exposure to job stressors. Conclusions: This study provides some evidence that job stressors may be related to suicidal outcomes. However, as most studies in the area were cross-sectional and observational in design, there is a need for longitudinal research to assess the robustness of observed associations.
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“Previous systematic reviews aiming to determine work-related risk factors for SRD have either not been updated since 2008,10 combined various common mental disorders, such as anxiety, depression and stress-related disorders, as outcome measures11 or used other outcomes, such as suicide.12”
From Work-related psychosocial risk factors for stress-related mental disorders: an updated systematic review and meta-analysis (2020) · cites this paper as [12]
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Measuring inconsistency in meta-analyses
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Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009) · doi:10.1002/9780470743386 · Cited by 14,225
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Karasek, R. A. (1979) · Administrative Science Quarterly · doi:10.2307/2392498 · Cited by 12,597
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Stansfeld, S., & Candy, B. (2006) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.1050 · Cited by 1,875
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Arsenault-Lapierre, G., Kim, C., & Turecki, G. (2004) · BMC Psychiatry · doi:10.1186/1471-244x-4-37 · Cited by 985
A systematic review including meta-analysis of work environment and depressive symptoms
Theorell, T., Hammarström, A., Aronsson, G., Träskman Bendz, L., Grape, T., Hogstedt, C., Marteinsdottir, I., Skoog, I., & Hall, C. (2015) · BMC Public Health · doi:10.1186/s12889-015-1954-4 · Cited by 982
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Niedhammer, I., Bertrais, S., & Witt, K. (2021) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3968 · Cited by 458
Self-citationRugulies, R., Aust, B., Greiner, B. A., Arensman, E., Kawakami, N., LaMontagne, A. D., & Madsen, I. E. H. (2023) · The Lancet · doi:10.1016/s0140-6736(23)00869-3 · Cited by 273
Self-citationvan der Molen, H. F., Nieuwenhuijsen, K., Frings-Dresen, M. H. W., & de Groene, G. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034849 · Cited by 226
Contributing factors to suicide: Political, social, cultural and economic
Stack, S. J. (2021) · Preventive Medicine · doi:10.1016/j.ypmed.2021.106498 · Cited by 224
Individual-level risk factors for suicide mortality in the general population: an umbrella review
Favril, L., Yu, R., Geddes, J. R., & Fazel, S. (2023) · The Lancet Public Health · doi:10.1016/s2468-2667(23)00207-4 · Cited by 221
Metadata
- Authors
- Milner, A., Witt, K., LaMontagne, A. D., & Niedhammer, I.
- Affiliations
- Deakin University (AU)
- Eastern Health (AU)
- Inserm (FR)
- Corresponding author
- Milner, Allison
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2017-08-29
- Volume
- 75
- Issue
- 4
- Pages
- 245-253
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- OpenAlex
- W2751229340
- Cited by
- 239
- References
- 52
- Citations by year
- 2026: 23 · 2025: 32 · 2024: 40 · 2023: 36 · 2022: 29 · 2021: 26 · 2020: 21 · 2019: 17 · 2018: 11 · 2017: 3
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Own your potential (DEAKIN) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Deakin University
- American Foundation for Suicide Prevention
- The Society for Mental Health Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
- Keywords
- occupational stressors, suicidality, suicidal ideation, self-harm, suicide attempts, job insecurity, supervisor support, coworker support, job control, psychosocial stress, occupational stress, suicide risk factors
- MeSH terms
- Occupational Stress, Humans, Psychology, Risk Factors, Suicide, Suicide, Attempted, Suicidal Ideation
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